Risk factors for foot fracture among individuals aged 45 years and older

Crystal M. Luetters, Theresa H Keegan, Stephen Sidney, Charles P. Quesenberry, Mila Prill, Barbara Sternfeld, Jennifer Kelsey

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

A case-control study undertaken among members of five Northern California Kaiser Permanente medical centers sought to identify risk factors for foot fractures among persons aged 45 years and older. Foot fracture cases (n = 920) and frequency matched controls (n = 2366) were interviewed between October 1996 and May 2001 using a standardized questionnaire. Foot fractures occurred most often while walking or climbing stairs. While 60% of foot fractures resulted from falls, 20% were attributed to other causes, such as hitting the foot or tripping on sidewalks and curbs. Having a self-reported history of physician-diagnosed diabetes [adjusted odds ratio (OR)= 1.45, 95% confidence interval (CI) = 1.10-1.91] or cataracts (OR = 1.40, 95% CI = 1.07-1.83), having a self-reported foot problem (OR = 1.38, 95% CI = 1.06-1.78 for two or more foot problem versus no foot problems), having difficulty walking in minimum light (OR = 1.86, 95% CI = 1.14-3.05) and having had a prior fracture (OR = 1.20, 95% CI = 1.05-1.37) were associated with increased risk. Putative protective factors for osteoporotic fractures, such as menopausal hormone therapy use, thiazide or water pill use, high calcium intake, and high body mass index were not associated with foot fracture risk. These findings suggest that risk factors for foot fractures among older people differ in part from risk factors for other fracture sites generally considered to be osteoporotic, such as the hip, vertebrae, and forearm.

Original languageEnglish (US)
Pages (from-to)957-963
Number of pages7
JournalOsteoporosis International
Volume15
Issue number12
DOIs
StatePublished - Dec 2004
Externally publishedYes

Fingerprint

Foot
Odds Ratio
Confidence Intervals
Mobility Limitation
Thiazides
Osteoporotic Fractures
Forearm
Cataract
Walking
Case-Control Studies
Hip
Spine
Body Mass Index
Hormones
Calcium
Physicians
Light
Water

Keywords

  • Diabetes
  • Foot
  • Fracture
  • Mobility
  • Vision

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Luetters, C. M., Keegan, T. H., Sidney, S., Quesenberry, C. P., Prill, M., Sternfeld, B., & Kelsey, J. (2004). Risk factors for foot fracture among individuals aged 45 years and older. Osteoporosis International, 15(12), 957-963. https://doi.org/10.1007/s00198-004-1625-2

Risk factors for foot fracture among individuals aged 45 years and older. / Luetters, Crystal M.; Keegan, Theresa H; Sidney, Stephen; Quesenberry, Charles P.; Prill, Mila; Sternfeld, Barbara; Kelsey, Jennifer.

In: Osteoporosis International, Vol. 15, No. 12, 12.2004, p. 957-963.

Research output: Contribution to journalArticle

Luetters, CM, Keegan, TH, Sidney, S, Quesenberry, CP, Prill, M, Sternfeld, B & Kelsey, J 2004, 'Risk factors for foot fracture among individuals aged 45 years and older', Osteoporosis International, vol. 15, no. 12, pp. 957-963. https://doi.org/10.1007/s00198-004-1625-2
Luetters, Crystal M. ; Keegan, Theresa H ; Sidney, Stephen ; Quesenberry, Charles P. ; Prill, Mila ; Sternfeld, Barbara ; Kelsey, Jennifer. / Risk factors for foot fracture among individuals aged 45 years and older. In: Osteoporosis International. 2004 ; Vol. 15, No. 12. pp. 957-963.
@article{4acd2a21a0e143a0af7246478f768c30,
title = "Risk factors for foot fracture among individuals aged 45 years and older",
abstract = "A case-control study undertaken among members of five Northern California Kaiser Permanente medical centers sought to identify risk factors for foot fractures among persons aged 45 years and older. Foot fracture cases (n = 920) and frequency matched controls (n = 2366) were interviewed between October 1996 and May 2001 using a standardized questionnaire. Foot fractures occurred most often while walking or climbing stairs. While 60{\%} of foot fractures resulted from falls, 20{\%} were attributed to other causes, such as hitting the foot or tripping on sidewalks and curbs. Having a self-reported history of physician-diagnosed diabetes [adjusted odds ratio (OR)= 1.45, 95{\%} confidence interval (CI) = 1.10-1.91] or cataracts (OR = 1.40, 95{\%} CI = 1.07-1.83), having a self-reported foot problem (OR = 1.38, 95{\%} CI = 1.06-1.78 for two or more foot problem versus no foot problems), having difficulty walking in minimum light (OR = 1.86, 95{\%} CI = 1.14-3.05) and having had a prior fracture (OR = 1.20, 95{\%} CI = 1.05-1.37) were associated with increased risk. Putative protective factors for osteoporotic fractures, such as menopausal hormone therapy use, thiazide or water pill use, high calcium intake, and high body mass index were not associated with foot fracture risk. These findings suggest that risk factors for foot fractures among older people differ in part from risk factors for other fracture sites generally considered to be osteoporotic, such as the hip, vertebrae, and forearm.",
keywords = "Diabetes, Foot, Fracture, Mobility, Vision",
author = "Luetters, {Crystal M.} and Keegan, {Theresa H} and Stephen Sidney and Quesenberry, {Charles P.} and Mila Prill and Barbara Sternfeld and Jennifer Kelsey",
year = "2004",
month = "12",
doi = "10.1007/s00198-004-1625-2",
language = "English (US)",
volume = "15",
pages = "957--963",
journal = "Osteoporosis International",
issn = "0937-941X",
publisher = "Springer London",
number = "12",

}

TY - JOUR

T1 - Risk factors for foot fracture among individuals aged 45 years and older

AU - Luetters, Crystal M.

AU - Keegan, Theresa H

AU - Sidney, Stephen

AU - Quesenberry, Charles P.

AU - Prill, Mila

AU - Sternfeld, Barbara

AU - Kelsey, Jennifer

PY - 2004/12

Y1 - 2004/12

N2 - A case-control study undertaken among members of five Northern California Kaiser Permanente medical centers sought to identify risk factors for foot fractures among persons aged 45 years and older. Foot fracture cases (n = 920) and frequency matched controls (n = 2366) were interviewed between October 1996 and May 2001 using a standardized questionnaire. Foot fractures occurred most often while walking or climbing stairs. While 60% of foot fractures resulted from falls, 20% were attributed to other causes, such as hitting the foot or tripping on sidewalks and curbs. Having a self-reported history of physician-diagnosed diabetes [adjusted odds ratio (OR)= 1.45, 95% confidence interval (CI) = 1.10-1.91] or cataracts (OR = 1.40, 95% CI = 1.07-1.83), having a self-reported foot problem (OR = 1.38, 95% CI = 1.06-1.78 for two or more foot problem versus no foot problems), having difficulty walking in minimum light (OR = 1.86, 95% CI = 1.14-3.05) and having had a prior fracture (OR = 1.20, 95% CI = 1.05-1.37) were associated with increased risk. Putative protective factors for osteoporotic fractures, such as menopausal hormone therapy use, thiazide or water pill use, high calcium intake, and high body mass index were not associated with foot fracture risk. These findings suggest that risk factors for foot fractures among older people differ in part from risk factors for other fracture sites generally considered to be osteoporotic, such as the hip, vertebrae, and forearm.

AB - A case-control study undertaken among members of five Northern California Kaiser Permanente medical centers sought to identify risk factors for foot fractures among persons aged 45 years and older. Foot fracture cases (n = 920) and frequency matched controls (n = 2366) were interviewed between October 1996 and May 2001 using a standardized questionnaire. Foot fractures occurred most often while walking or climbing stairs. While 60% of foot fractures resulted from falls, 20% were attributed to other causes, such as hitting the foot or tripping on sidewalks and curbs. Having a self-reported history of physician-diagnosed diabetes [adjusted odds ratio (OR)= 1.45, 95% confidence interval (CI) = 1.10-1.91] or cataracts (OR = 1.40, 95% CI = 1.07-1.83), having a self-reported foot problem (OR = 1.38, 95% CI = 1.06-1.78 for two or more foot problem versus no foot problems), having difficulty walking in minimum light (OR = 1.86, 95% CI = 1.14-3.05) and having had a prior fracture (OR = 1.20, 95% CI = 1.05-1.37) were associated with increased risk. Putative protective factors for osteoporotic fractures, such as menopausal hormone therapy use, thiazide or water pill use, high calcium intake, and high body mass index were not associated with foot fracture risk. These findings suggest that risk factors for foot fractures among older people differ in part from risk factors for other fracture sites generally considered to be osteoporotic, such as the hip, vertebrae, and forearm.

KW - Diabetes

KW - Foot

KW - Fracture

KW - Mobility

KW - Vision

UR - http://www.scopus.com/inward/record.url?scp=11244335536&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=11244335536&partnerID=8YFLogxK

U2 - 10.1007/s00198-004-1625-2

DO - 10.1007/s00198-004-1625-2

M3 - Article

C2 - 15118813

AN - SCOPUS:11244335536

VL - 15

SP - 957

EP - 963

JO - Osteoporosis International

JF - Osteoporosis International

SN - 0937-941X

IS - 12

ER -